OrganizationActive
Covenant Counseling Center
NPI 1760688477 · Health Maintenance Organization · Summerville, SC
Provider details
- NPI number
- 1760688477
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mark Tidsworth, Consulting Director(803) 673-3634
- License
- 2130 (SC)
Specialties & taxonomies
Managed Care Organizations
Practice location
1851 Dawson Branch Rd
Summerville, SC 29483-5702
Phone: (843) 851-1806
Approximate (ZIP-level) locationGet directions
Mailing address
196 Bridgecreek Dr
Goose Creek, SC 29445-5214
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.